Orange County NC Website
Browse       Search
DocuSign Envelope ID: 6E30952E- 74C9- 4C59- 8050- B1AE415FDFED <br />STATE OF NORTH CAROLINA <br />AFFIDAVIT <br />ORANGE COUNTY <br />I, �b � �t _ REEVE (the individual attesting below), being duly authorized by and on behalf of <br />-TMN� kTF- L LC'_ (the entity bidding on project hereinafter "Employer ") after first being duly <br />sworn hereby swears or affirms as follows: <br />Employer understands that E-VerifV is the federal E- Verify program operated by the United States <br />Department of Homeland Security and other federal agencies, or any successor or equivalent program used to verify <br />the work authorization of newly hired employees pursuant to federal law in accordance with NCGS §64- 25(5). <br />Employer understands that Employers Must Use _E- Verify. Each employer, after hiring an employee to work <br />in the United States, shall verify the work authorization of the employee through E- Verify in accordance with <br />NCGS §64- 26(a). <br />3. Employer is a person, business entity, or other organization that transacts business in this State and that <br />employs 25 or more employees in this State. (mark Yes or No) <br />a. YES , or <br />b. NO <br />4. Employer's subcontractors comply with E- Verify, and if Employer is the winning bidder on this project <br />Employer will ensure compliance with E- Verify by any subcontractors subsequently hired by Employer. <br />ThisMdayof Aj>JZ1L 20177 <br />- -1�4-7c - <br />.Signature of Affiant <br />Print or Type Name: _ ] ICJ i�% � <br />State of North Carolina Orange County II _ <br />Signed and sworn to (or affirmed) before me, this the S-A 1 x <br />O <br />day of 1 "wi l , 204<7 �AU \q <br />s <br />z <br />My Commission Expires: <br />V\ - l <br />Notary Public °: <br />